Westside Physical Therapy Llc | |
4171 Hwy 1 S., Ste 10, Port Allen, LA 70767 | |
(225) 416-0333 | |
(225) 416-0332 |
Full Name | Westside Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4171 Hwy 1 S., Port Allen, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922666551 | NPI | - | NPPES |
2520423 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael B Moseley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891705620 PECOS PAC ID: 3577506815 Enrollment ID: I20050607000941 |
Provider Name | Nicole M Fabre |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902076649 PECOS PAC ID: 7012191356 Enrollment ID: I20110411000360 |
Provider Name | Arthur J Wilson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104473925 PECOS PAC ID: 0345137634 Enrollment ID: I20191101001411 |
Mailing Address | Practice Location Address |
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Westside Physical Therapy Llc 4171 Hwy 1 S., Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 | Westside Physical Therapy Llc 4171 Hwy 1 S., Ste 10, Port Allen, LA 70767 Ph: (225) 416-0333 |
Mr. Arthur James Wilson Iv, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 | |
Haley Fontenot Leblanc, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4463 Hwy 1 S Ste D, Port Allen, LA 70767 Phone: 225-749-8980 Fax: 225-749-9096 | |
Mrs. Nicole Marie Fabre, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4171 Hwy 1 S. Ste 10, Port Allen, LA 70767 Phone: 225-416-0333 Fax: 225-416-0332 |